EFEITO DO EXERCÍCIO FÍSICO PARA O ASSOALHO PÉLVICO SOBRE OS SINTOMAS URINÁRIOS EM MULHERES COM ESCLEROSE MÚLTIPLA: UMA REVISÃO SISTEMÁTICA.

Abstract

Introduction: Lower urinary tract symptoms (LUTS) significantly impact the quality of life of women with multiple sclerosis (MS). Pelvic floor muscle training (PFTA), especially combined with electrical stimulation, emerges as a non-invasive therapeutic alternative. Objective: To map and synthesize evidence from randomized controlled trials (RCTs) on treatment protocols for LUTS in women with MS, exploring methodological and clinical heterogeneity. Methods: Searches were conducted in MEDLINE (PubMed), Embase (Elsevier), Cochrane Library, LILACS (BVS), and PeDro until June 2025, without language or year restrictions. RCTs involving women with MS and LUTS were included. Risk of bias was assessed by ROB 2.0 and quality of evidence by GRADE. The results were narratively synthesized. Results: Six RCTs (175 women with MS and LUTS) were included. Interventions included PFTA, often combined with biofeedback, electrical stimulation, neuromodulation, or telerehabilitation. All studies demonstrated improvements in LUTS and quality of life. Conclusion: PFTA, particularly with electrical stimulation or neuromodulation, shows therapeutic potential for LUTS in women with MS. However, the low methodological quality of the studies limits the strength of the evidence. Funding: This research was carried out with the support of the Coordination for the Improvement of Higher Education Personnel – Brazil (CAPES) – Financing Code 001. Registration: PROSPERO CRD420251020383. Keywords: multiple sclerosis, lower urinary tract symptoms, physical therapy modalities